Organization
GRASSROOTS HEALTH, LLC
Active
Parent organization
COMMUNITY HEALTH CENTER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH CENTER INC.
Authorized official
ZACHARY DAVID ATEN (MANAGER)
(678) 249-3552
Entity
Organization
Contact information
Practice address
5000 AUSTELL POWDER SPRINGS RD, SUITE 273, AUSTELL, GA 30106-2427
(678) 398-6548
(678) 398-6550
Mailing address
PO BOX 1205, POWDER SPRINGS, GA 30127-7205
(678) 249-3552
(678) 249-3552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
06/30/2015
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